Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners · 2025
Postoperative Opioid Use in Pediatric Inguinal Orchiopexy.
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Chin Tracy, James Evelyn, Carter Bailey, Desir Caitlyn, Khang Leepao, Wang Lily C
Аннотация
INTRODUCTION: Using data collected from 2020 to 2022 on pediatric patients undergoing inguinal orchiopexy, we seek to identify factors associated with opioid use after surgery.
METHOD: Data were collected and analyzed using multivariate logistic regression. A total of 166 patients aged 1-21 were included. All patients were given instructions to use weight/age-based acetaminophen for mild/moderate pain after surgery and hydrocodone-acetaminophen for severe pain.
RESULTS: Age, acetaminophen use, and preferred language were associated with postoperative opioid use while other patient and surgical variables were not.
DISCUSSION: In this study, we found that increasing age, lack of acetaminophen use, and preferred language of English were associated with increased postoperative opioid use. In addition, while race/ethnicity was not associated with opioid use, patient language preference for English in this Hispanic-majority population was associated with increased opioid use. The findings of this study highlight the importance of patient education and effective communication to limit opioid use and prescription.
METHOD: Data were collected and analyzed using multivariate logistic regression. A total of 166 patients aged 1-21 were included. All patients were given instructions to use weight/age-based acetaminophen for mild/moderate pain after surgery and hydrocodone-acetaminophen for severe pain.
RESULTS: Age, acetaminophen use, and preferred language were associated with postoperative opioid use while other patient and surgical variables were not.
DISCUSSION: In this study, we found that increasing age, lack of acetaminophen use, and preferred language of English were associated with increased postoperative opioid use. In addition, while race/ethnicity was not associated with opioid use, patient language preference for English in this Hispanic-majority population was associated with increased opioid use. The findings of this study highlight the importance of patient education and effective communication to limit opioid use and prescription.